Provider Demographics
NPI:1982755112
Name:LEVAV, AMY L (MD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:L
Last Name:LEVAV
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6301 EXECUTIVE BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3905
Mailing Address - Country:US
Mailing Address - Phone:301-770-4967
Mailing Address - Fax:301-770-3205
Practice Address - Street 1:6301 EXECUTIVE BLVD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3905
Practice Address - Country:US
Practice Address - Phone:301-770-4967
Practice Address - Fax:301-770-3205
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2011-04-26
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Provider Licenses
StateLicense IDTaxonomies
MDD0062886207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H19025Medicare UPIN